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HomeMy WebLinkAbout23499-zFORM NO. 4 TOWN OF SOUTHOLD BUILDINO DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24430 Date JUNE 14, 1996 THIS CERTIFIES that the building Location of Property 305 MA~'i'~RS ROAD House No. County Tax Map No. 1000 Section 126 Subdivision ACCESSORY LAUi~EL, N.Y. Street Hamlet Block 9 Lot 22 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 4, 1996 ~ursuant to which Building Permit No. 23499-Z dated JUNE 13, 1996 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY SHED IN REAR YARD AS APPLIED FOR "AS HUILT" AS PER ZBA ~4383 DATED 5/29/96 The certificate is issued to HELEN A. DiTTuS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 g~nspector FORM' NO. ,s TOWN OF SOUT~OLD BUILDIHG DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 23~t99 Z is hereby granted to: , .................... .... ./.~......~/.'~.~.....~..: ................... ..Z~..~.z.~.~..~..< ......... ~ ......................... .~.~.....~....~./.~ ....... .~...~. ........ ~.....~.....~.~..~.~....~/~ at premises located at ............... ~..~..~ ......,~...~.., .~.,/..~...~.,~,....~ ......................................... County Tax Map No. 1000 Section ....Z.~...~..~ ......... ~BI°ck ...~...7~-......_..._ LOtoNO.19' .~...~.,nd . .~.....~... ........... / Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ao This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - ~ .25~.~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 1996 Date. ...J.u. ne... 1.4.,. ............................. New Construction ........... Old Or Pre-existing Building...~ ........... . Location of Property ..... ~0~.~$~$.~I~, .......... I~I~P~, .~,%, ............................... House No. Street Hamlet Onwer or Owners of Property ...... ~Lg~.~,.~%%~$ ............................................. County Tax Map No 1000, Section ...... ~2~ ..... Block ..... 9 .......... Lot...22 ................. Subdivision ~' Filed Map Lot Permit No .... ~99vg ..... Date Of Permit...6fl~f96 ...... Appli~ant..~Lg~.A~.~I%%~S ............ Health Dept. Approval .......................... Underwriters Approvai..l ...................... Planning Board Approval .................... .... Request for: Fee Submitted: Temporary Certificate ........... Final Certicate ........... $ 25. OO APPLICANT TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTttOLD, N.Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that your application 8atea ....... ~ .............. 19..~ House No. Street Hamlet co..,~ ~ax m,.o. ~000 S=.o..../~.~ ..... ~o~. .... ~ ..... ~o~ ...~ ....... Subdivision .................. Filed Map No ................. Lot No .................. ~ / .......................~ .................. ~...~../~... ~... ~ f.. ~¢.~ ~ ~ ~ · ~.~) .... .~.~nW....~ w~4 ..... ~ , ~. ~ . .~ ~ ........ ~...~ .... ~ ..... ~(~ ~ .......................................... kY 1/80 : APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Serge Doyen, Jr. James Dinizlo, Jr. Robert A. Villa Lydia A. Tortora Southold Town Hall 53095 Main Road EO. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD June 12, 1996 By Facsimile Transmission to 734-7702 Deborah Doty,Esq. 5// P.O. Box 1181 ~--~' Cutchogue, NY 1193 Re: Appl. No. 4383 / Helen~ce Dear Ms. Dory: for Shed Setback) Please find enclosed a copy of the determination rendered by the Board of Appeals and filed today with the Town Clerk's Office concerning the above variance application. A copy of this determination has also been transmitted to' the front desk at the Southold Tow~ Building Department pertaining to the pending building permit application request. However, it will be necessary for you (or the owner) to contact the B~uilding Department (765-1802) in a day or two to be sure the building permit application is returned to their "active" shelf for final processing. Also, due to the prox/mity of this project within 500 feet of a Horton's Creek (an estuary of Pecohic Bay), we are required, and have, transmitted copies of the variance file to the Suffolk County Department of Planning for their determination as required under the County's Administrative Code. It is expected that oncb is review is completed by the County, that the County will lea,)e the project for local (town) determination without further County Planning review. Very truly yours, CLiffda Kowalski lk Enclosure Copiers of Decision to: . ~?,uilding Inspectors' Office ~xtra Copy - Building Permit Application File (ref: Disapproval) Suffolk County Department of Planning FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL.: 765-1802 3isapproved a/c ..................................... -- . ( B u ild in off/lgfffec t o r ) APPLICATION FOR BUILDING PERMIT BOAKD OF HEALTII ......... 3 SETS OF PLA~{S SURVEY CHECK CALL flAIL TO: May 4 - 1996 Date ..... , INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 :ts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ~tion. e. The work covered by this appli6ation may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ~fll be'kept on the premises available for inspection throughout the w6rk. e. No building shall be occupied or. used in whole or in part for any purpose whatever until a Certificate of Occupancy mil have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to'the Building Department for the issuance of a Building Permit pursuant to the ailding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and to !mit authorized inspectors on premises and in building for necessary inspections. ~ i ' ~.~ h ) (Signature of applicant, o~ name, if a corporation) (Mailing address of O, pl~ilcant)., 11935 :ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electriciafi, plumber~ or builder. - APPROVED AS NOTED amcofowner · Helen A. Dittus ~ 5--~ / ~ ~/ (as on the tax roll or latest flo~tlgY BUILOiNG OEPA-RT~/IENT'AT applicant is a corporation, signature of duly autt[orized officer. (Name and title of corporate officer). Builder's License No .......................... Plumber's License No ......................... Electrician's License ND ....................... Other Trade's License No ...................... 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPEC'I1ONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4.' FINAL - CONSTRUCTION MtJ$'r BE COMPLETE FOR C.O. At.L CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPON,qIRLE FOR DESIGN OR CONSTRUCTION ERRORS, Location of land on which proposed work will be'done ..................... 305 Masters Road " . Laurel llouse Nmu ber Street t-[aullet County Tax Map No. I000 Section ]26. Block 9 .2.2 S bdi i ion ' Fil d M' No u v s ........................... e np ............ Lot (b'a' c) .......... " " State ex/sting use and occupancy of premises and intended use and occupancy of proposed construction: residential (seasonal .......... a. ExiMing use and occupancy ...................... ) ..... . .............................. b. Intended use and occupancy r~sidential. (seasomal) ................. 3.-~ Nature of work (check which applicable): New '~uildi~: .......... Addition .......... 'Alteration ........ Repair .............. Removal .............. Demolition .............. Other Work ............. acoessory building ~hedk ~.rear .yard 4. Est mated Cost ~'~5 [OC) (Description) · (to be paid on filing this application) 5. If dwelling, number 6f dwelling units .... . · If garage, number of cars ............. ' ......... Number ofdwelhng units on each floor ............ If business, commercial or mixed occupancy, specify nature and extent of each type of 7. Dimensions ofexistingstmctnres if any' Front 34 ' . Rear .~.~. 34 .use ........... ............. · ....... Depth Height ............... Number of Stories .............................................. Dimensions of same structure with alterations or additions· Front 34 . Rear34 ....... D.epth ~.1 ....... . .......... Height , .s..afqq.. .... ~.. . "' ~, ........... . .............. 8. Dmlens~ons of entire new cons!mc!ion Front .... ~.. rqumuer of Stones ............. ,.... ...... ............... l~ear ................ Depth ..... ~eight ............... Number of Stories ..... 9. S.ze of lot: Front .. 75.98 .... ~,~, ' ' 'Jg.'d ............................... ~ .... 10. DateofPurchase 8/6/65 '' : ............... 2 .................. .D_epth ,145~. .. ! ., .......... ::--','. .............. ' ......... Name of Former Owner ~m &Wilma Guggxg~fq ...... · .. z, one or use olsrrlc£ In Wulch premises are situated · Does proposed Construction v ~-,~ ~ 2 ........ ."'.' ''~'' '' 12 iolate ,~ny zoning, law ;,,~ ,. 1' ' '-' .................... 13. 'Wi I et be regraded n~ ............ or regulation...Y ..... 0.0. 3.3.B.( 1 ) ........ Wdl excess fill be removed from premises: Yes · . l0 Starl.ia.lj:.D.r Phone No 203-840-~790 14. NameofOwnerofpremisesHe~eo.~, rPigt;qs. .... Address WoYW'alk) ~t ' ' · ........ Name of Architect ..... . ... ........................... Address .......... Phone No. Name of Contractor ......... · .............. .......................... Address ................... Phone No ..... 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No. x ........... · If yes, Sou!hold Town Trustees Permit may be required· ' ....... PLOT DIAGRAM Locate clearly and distinctly alI'buildhngs, whether existing or proposed, end, indicate all set-back dimensions from property Hnes. Give street and block number or description aCCording to deed, and show street names and indicate whether interior or comer lot. See survey annexed i' One story metal storage shed is 9 ~ 5 ' x 5.5 ' STATE OF NEW.YORK, COUNTy OF..S.U.F.m..LF .....s.s ...... Dt~BORAI-I ~J~TY ............................ being duly SWorn, deposes and says that lie is the applicant ' (Name of individual signing contract) ,bore named, r iq ! ~ attorney for owner (Contractor ascot .............................. , , corporate officer, etc.) ......... said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication: that all statements contained in this application are trne to the best of bis koowledge aud belief; an~ !bat the ,'ork will be performed in the manner set forth in the application filed therewith. ,worn to before Suffo ~/~ Otary Pub lc .................... ~. CLAIRE t. GLEW Notary Public, "+ ~' ' ~ Ne~ York Commission Expires [3uoe.ibo~ ~3, 1 O ..... , County ('Sign ah'rte of applicant)